Biochemistry/ Immunology requests and results

Requests

All specimens must be labelled with full patient identification and be accompanied by a request form giving full clinical details and signed by a doctor, in accordance with BSUH Pathology Specimen and Request Form Labelling Requirements (downloadable here).

Please use the correct type of request form and fill it in properly to allow the sample to be processed efficiently. Click here for information on completing request forms.

Prompt delivery of samples without exposure to either heat or cold is important to ensure validity of results - within 6 hours for many tests.

Please ensure urgent requests are clearly identified - use yellow forms at RSCH.

 

Sample requirements

Important message about Ebola and other Viral Haemorrhagic Fevers (VHFs): Click here to review the processes to be followed if any patients fulfil the clinical criteria for suspected Ebola and other Viral Haemorrhagic Fevers within our Trust.

Protect patients - Protect lab staff - Protect yourselves

Blood

Blood samples should be collected using the Greiner Vacuette® System. Posters listing the types of tube to use for commonly requested tests can be downloaded here.

For more detailed information on requirements for specific tests please use the A to Z index or search function.

Urine and faeces

Requirements vary depending on the test - if in doubt check the listings using the A to Z index or search function.

Download 24h Urine Collection guide

24 Hour Urine Collections: Guide for Patients (revision 2, last reviewed 19.02.2013)

This leaflet has been approved by the BSUH Carers and Patients Information Group, and is also available on the BSUH public site- click here.

Cerebrospinal fluid (CSF)

Full instructions on CSF sample requirements are available here.

 

Tests available

Please use the A to Z test index or search function for information on individual tests. Most routine automated biochemistry tests are available as a same day service; others may be done less frequently. If the test you are looking for is not listed please contact the laboratory if you need information.

Reference values shown are those currently used by this laboratory and are adult ranges unless otherwise stated. Please note that they may change periodically, and that some tests have age-related ranges - see the original written pathology report.

Referred tests 

Referred testTests with this icon are not done locally. They can be very expensive and often require special transport arrangements. Specialist tests should only be used when simpler tests have failed to produce a clear answer to the clinical problem. Request forms should have the fullest possible clinical details to justify the test. Restrictions mean that greater selectivity and different investigations will have to be applied.

Our laboratory has no control over the time scale for the return of results from external laboratories. Note that additional time must be allowed for packing, dispatch and delivery of sample, and return and processing of results.

Adding requests to samples already in the laboratory

The lab receives a significant number of telephone requests for supplementary tests to be added to samples already in the laboratory. This can be very disruptive, particularly out-of-hours, and can result in delays in analysis and reporting of other results.

Supplementary request forms are available to all users and should be completed and returned to the lab. An ordinary request form with the patient and requester details completed, and clearly marked to say that the request is for a test or tests to be added to a previous request, is also acceptable. At RSCH please do not telephone the lab to say that a request is on its way (unless urgent). At PRH please complete and send the form but if out of hours also bleep the biochemistry BMS on-call.

Download supplementary request form

Supplementary request form (revision 1, last updated 8.10.18)

 

As long as the form is returned quickly (via airtube at RSCH) this should not have any significant effect on turnround time of the supplementary test, but should be significantly less disruptive in terms of processing the routine workload.

We do not accept routine requests for additional tests on most routine samples that are more than 24 hours old. A repeat sample should be taken. Please note that some tests cannot be added as supplementary tests due to special processing requirements.

Drug testing

If medicolegal and/or child safeguarding issues seem likely, please use the chain of evidence form (see below) and accompanying sample collection instructions. Contact the laboratory before sending all chain of evidence samples. These must be received in normal working hours. If in any doubt please contact laboratory before obtaining the samples and consider supervised sample collection requirements and consent, as set out in chain of evidence form instructions.

If you are collecting samples at The Royal Sussex County Hospital site, please use the chain of evidence form and instructions below:

Download instructions for collection of samples for drug testing

BSUH Chain of Evidence Form for Hospital Patients (revision 0, last reviewed 25/06/2018)

Download instructions for collection of samples for drug testing

Instructions for Collecting Samples for Chain of Evidence Toxicology Analysis in Hospital Patients (revision 0, last reviewed 25/06/2018)

 

If you are collecting samples at a different hospital site, such as East Surrey Hospital, and will be delivering the samples to the lab via courier, please follow the procedure in the collection instructions above, but use the Royal College of Pathologists ‘Laboratory Chain of Evidence Form’ (instead of the BSUH form). This can be found in the appendix of the ‘Guidance for handling medicolegal samples and preserving the chain of evidence’, on the Royal College of Pathologists site - click here.

Research studies/drug trials

In all cases please discuss these with the Consultant Clinical Biochemist prior to sending any samples to the laboratory for investigation.

Reporting results

Results are viewable on ICE Desktop or on GP systems as soon as they are available. For information on how to access ICE Desktop click here.

Urgent results and routine chemistry results that require particularly urgent attention are sent via air tube (RSCH) or telephoned to the relevant doctor, surgery or ward in accordance with departmental procedures.

Download telephoning ranges

Telephoning ranges (revision 15, last reviewed 25/10/2018)